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Increase in allergic sensitization in schoolchildren: two cohorts compared 10 years apart
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (The OLIN Unit)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (The OLIN Unit)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Department of Health Sciences, Division of Nursing, Luleå University of Technology, Luleå, Sweden. (The OLIN Unit)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (The OLIN Unit)
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2017 (English)In: The journal of allergy and clinical immunology: In practice, ISSN 2213-2198, Vol. 5, no 2, 457-463 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Time trends of incidence of allergic sensitization are unknown and recent trends of prevalence and risk factors are lacking.

OBJECTIVE: To estimate the incidence, prevalence, remission, risk factors, and time trends for allergic sensitization among schoolchildren followed from age 7 to 8 years to age 11 to 12 years.

METHODS: In 2006, all children in grades 1 and 2 aged 7 to 8 years in 2 municipalities in northern Sweden were invited to a questionnaire survey and to skin prick testing to 10 common airborne allergens. The cohort was reexamined in 2010, with additional blood sampling for specific IgE. Participation rates were 90% (n = 1700) at age 7 to 8 years and 85% (n = 1657) at age 11 to 12 years. The results were compared with a cohort examined by identical methods 10 years earlier.

RESULTS: The prevalence of positive skin prick test result to any allergen increased from 30% at age 7 to 8 years to 41% at age 11 to 12 years (P < .001). The cumulative 4-year incidence was 18%, while remission was low. Sensitization to pollen and furred animals was most common. A family history of allergy was significantly associated with incident sensitization, whereas the presence of furred animals at home was negatively associated. The prevalence at age 7 to 8 years and at age 11 to 12 years and the 4-year incidence were all significantly higher compared with the cohort examined 10 years earlier.

CONCLUSIONS: The prevalence of allergic sensitization increased by age as a consequence of a high incidence and a low remission. The trends of increasing incidence and prevalence among schoolchildren imply future increases in the prevalence of allergic diseases.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 5, no 2, 457-463 p.
Keyword [en]
Allergic sensitization, Prevalence, Incidence, Risk factors, Longitudinal study, Schoolchildren
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:umu:diva-128113DOI: 10.1016/j.jaip.2016.09.025PubMedID: 27838328OAI: oai:DiVA.org:umu-128113DiVA: diva2:1049089
Available from: 2016-11-23 Created: 2016-11-23 Last updated: 2017-03-17Bibliographically approved

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Bunne, JoakimMoberg, HelenaHedman, LinneaAndersson, MartinRönmark, Eva
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CiteExportLink to record
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